Baptism Request Form

In the United Methodist Church, we believe in the sacrament of Holy Baptism.

Name of Person to be Baptized

First, Middle, and Last Name

Name of Parent 1 (for baptism certificate)

First Name

Last Name

Name of Parent 2 (for baptism certificate)

First Name

Last Name

Date of Birth of Person to be Baptized (MM/DD/YYYY)

Place of Birth of Person to be Baptized

Name of hospital, city, and state

Phone Number

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Name of Godparent 1 (If Applicable)

First Name

Last Name

Name of Godparent 2 (If Applicable)

First Name

Last Name

Service Choice

Please select which worship service you would like to have this baptism take place in.

Chapel Worship (8:30 am)

Sanctuary Worship (10:00 am)

Harbor Worship (11:25 am)

Pastor Preference

Reverend Dan Bogre

Pastor Paul Bennett

No Preference

Preferential Dates for Baptism

Please write below your top preferences (at least 3) for when you would like this baptism to be performed. No first Sundays of the month please.

Comments

List siblings if applicable

Please indicate if they were also baptized at RRUMC.